98%
921
2 minutes
20
Objective: To evaluate the feasibility of Apneic anesthesia with intermittent ventilation (AAIV) during laryngeal papillomatosis removal in children.
Methods: The clinical data of 30 patients with laryngeal papillomatosis treated in the Tong Ren Hospital of Capital University of Medical Sciences, between 10 - 12 2011 were analyzed. Thirty ASA physical status I or II patients who were scheduled for elective surgery. The patients were ventilated with 100% oxygen and the period of intermittent apnea were guided by pulse oximetry, the endotracheal tube was removed when SpO2 was 100% and reinserted when SpO2 was 95%.
Result: The average duration of apnea was (232 ± 32) s. This technique provided a good visualization and immobile field for operation. No significant complications have occurred with AAIV.
Conclusion: Apneic anesthesia with intermittent ventilation could be used without any serious adverse outcome for juvenile-onset recurrent laryngeal papillomatosis, 232 seconds can provided for surgery every AAIV.
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J Obes Metab Syndr
September 2025
Integrated Perioperative Geriatric Excellent Research Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Background: Morbid obesity is a well-established risk factor for cardiovascular disease. Diastolic dysfunction, particularly in non-cardiac surgeries, has been associated with increased incidence of adverse cardiovascular events. This study aimed to evaluate the prevalence of diastolic dysfunction in morbidly obese patients undergoing bariatric surgery and to identify associated clinical risk factors using transesophageal echocardiography (TEE).
View Article and Find Full Text PDFJ Vet Emerg Crit Care (San Antonio)
August 2025
Department of Clinical Diagnostics and Services, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.
Objective: To describe the inadvertent insertion of a tube intended for nasogastric placement into the brain of an anesthetized brachycephalic cat.
Case Summary: A 7-year-old Persian cat underwent a cholecystectomy for emergency surgical management of biliary obstruction, with postoperative placement of a nasogastric tube planned for nutritional support. General anesthesia with spontaneous breathing was administered, and the surgical procedure was performed without adverse events.
Int J Pediatr Otorhinolaryngol
August 2025
Department of Otolaryngology-Head & Neck Surgery, University of Pittsburgh, Pittsburgh, PA, 15213, USA; Department of Otolaryngology-Head & Neck Surgery, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, 15213, USA. Electronic address:
Introduction: Otolaryngology consultation for infant airway obstruction is common, with nasolaryngoscopy being the primary diagnostic tool. However, traditional awake nasolaryngoscopy is often limited by infant crying and brief examinations. A more detailed drug-induced sleep endoscopy requires anesthesia and operating room resources.
View Article and Find Full Text PDFJ Robot Surg
August 2025
Department of Otorhinolaryngology, Head and Neck Surgery, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Tongue base resection for obstructive sleep apnea (OSA) using the da Vinci robotic system has been widely reported as a treatment option. Nevertheless, the relatively high incidence of perioperative hemorrhage associated with the single-port (SP) model may limit its adoption compared with the multi-port system. The study is aiming in evaluating the feasibility and safety of our modified protocol of transoral robotic surgery (TORS) tongue base resection for OSA using the SP da Vinci robotic system.
View Article and Find Full Text PDFLife (Basel)
August 2025
Department of Ophthalmology, School of Medicine, University of Mostar, 88 000 Mostar, Bosnia and Herzegovina.
Background: Obstructive sleep apnea (OSA) is increasingly recognized as a potential risk factor for glaucoma due to its association with intermittent hypoxia and vascular dysregulation. The aim of this study was to investigate early glaucomatous changes in the eyes of patients with OSA.
Methods: This case-control study included 25 patients with OSA and 25 age- and sex-matched healthy controls.